Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $38.75 / $274.22	Facility		$16.07	$38.75	$274.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $15.17 / $16.07	Professional		$12.77	$15.17	$16.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $82.94	Facility		$15.42	$15.42	$82.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $8.41	Professional		$8.41	$8.41	$8.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $77.11 / $115.43	Professional		$50.46	$77.11	$115.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $43.74 / $87.21	Facility		$11.90	$43.74	$87.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $13.10 / $24.27	Professional		$0.34	$13.10	$24.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $21.29 / $25.20	Professional		$20.44	$21.29	$25.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $16.19 / $16.19	Facility		$14.62	$16.19	$16.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $23.00 / $41.00	Professional		$16.17	$23.00	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $22.52 / $78.97	Facility		$12.64	$22.52	$78.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $22.58 / $72.20	Professional		$12.64	$22.58	$72.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Facility		$7.15	$7.15	$7.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.07 / $14.28	Professional		$7.15	$10.07	$14.28